Long‐term Results of Carbon Dioxide Laser Treatment of Meatal Condylomata Acuminata

Abstract

A group of 74 men who underwent carbon dioxide laser treatment of meatal condylomata were observed for an average of 18 months. The cure rate after 1 treatment of isolated meatal lesions was 78%; the presence of external lesions lowered the rate to 32% and additional external and urethral warts to 25%. Following multiple treatments all but 6 patients were cured; 83% of the recurrences developed within 3 months. One urethral and 6 meatal strictures occurred more than 3 months after treatment; 9 patients had a spraying stream many years after treatment and 2 complained of frequency.

The Management and Prevention of Premalignant Penile Lesions

“…Within this zone vessels up to a diameter of 0.5 mm are sealed. In a small series of patients with intraurethral warts only 25-60% of cases were cured with one session of CO 2 laser therapy (51,52).…”

Lasers in urology

“…C02 laser energy cannot be delivered via a fiber and hence is not suitable for more proximal lesions. Krogh et al [74] have reported results in 74 men with condyloma of the urethral meatus with a follow-up of 18 months. Of these 78% had no recurrence.…”